Hayden, Cedric Ross
Hayden, Cedric Ross is an sole proprietor health care provider with primary practice located at 498 Harlow Rd, Suite #3, Springfield OR 97477-1336. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Hayden, Cedric Ross can be contacted via phone (541) 393-7000.Contact Information
Primary practice address
498 Harlow Rd, Suite #3
Springfield OR 97477-1336
Phone: (541) 393-7000
Fax: (541) 393-7003
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D6958 | Oregon |
Profile Details
| NPI number | 1073596987 |
|---|---|
| LBN Legal business name | Hayden, Cedric Ross |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 23rd, 2005 |
| Last updated | Mar 7th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073596987 | NPPES |
| Oregon | MEDICAID | 68122 |
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